THIS IS ME BEING FINAL YEAR STUDENT AHAKS

THIS IS LIFE….

….and

  LIFE MUST GOES ON....

When I ask patient (pt) to come at 245pm and he said yes, I’m happy.

Morning session end at almost 1pm. Time for Muslim to pray Jum’ah. I went to locker room, pray and had my lunch. 

You know what I did this morning? Obturation of 24 after 3 visit. Endo really trying my patience so hard. 1^st visit to do caries free and pulp extirpation. 2^nd visit to do canal prep. Alhamdulillah 3^rd visit I can obdurate. Not finish yet. I do think this tooth need to be crowned. Badly broken with loss of palatal cusp almost near to CEJ.

So, just TF again with kalzinol, I don’t want to use cavit, it’s more brittle and cant last longer. 

Continue the story again. At 215pm, I already at clinic. Already standby with wrapped dental chair and all endo set. Also with intraoral camera & segala macam mak nenek alatan endo segala.

Got message said he’s coming late. Still ok. Better late than never. Then, at almost 4pm, no shadow even the nose..wakaka. laugh out loud to yourself. 

Tutup kedai.

Pelanku berantakan lagi..

Someone said : THIS IS LIFE….

     ….and  LIFE MUST GOES ON…..somebody replied

THIS IS ME PURSUE MY CAREER AT UNIVERSITI KEHIDUPAN

 My English is quite rusty although I got band 5 for my muet. Haha. Long gone babe, just history now. 

Practical+Theory=Life. Theory says the usual step, usual way to do things, but practical shapes the life. As today, another experience comes in. it make me wonder how life flies so fast.

Before, it’s just the word: you are first year, no need to know detail, just be familiar with the basic.

Now: What happen to you my dear, already final year yet don’t know to diagnose properly, don’t know to present properly?

How life change. The word may make your pride goes down or may motivate you to study more, take your pick. 

Ok. About today. I got no patient for GDP case, so just wait for OPD. My ‘rezki’ , I got a patient as early as 223pm. 

Topic: Pulpal problem is difficult to localize if compared with periodontal problem. So, from chief complain I have to look for the exact cause of toothache. Namely 3 teeth to be investigated which are 25 (food impaction with caries extend to pulp, cavitation on 27 and secondary caries under mesial gic of 28. (28 suprarerupt due to removal of impacted 38 3 years back.

To complicate the situation, on percussion all posterior teeth are tender, difficult right? Not that difficult actually, just put dressing on 27&28, 28 is preferably for extraction case (non functional+deep caries) and pulp extirpation of 25. These considered as emergency treatment as patient in pain. There, solve the problem. Before, do investigation like xray-OPG for impacted 8’, PA for deep caries & bitewing for interproximal caries detection. Simple right? I love to be a dentist..haha

But, 1^st of all, give oral hygiene education. Most important, technique of toothbrushing-if needed advice to use floss & brushing before sleep. Why it is important to brush just before sleep? Coz during sleep, quantity of saliva reduced, so the self cleansing effect of saliva is reduced too. This will favour accumulation of plaque on tooth surface and lead to demineralization process that with time will contribute to caries formation. 

My experience, I got this kind of toothache. (my mom make joke about this: dentist also got toothache? Haha) . after all, dentist (I mean dental student now) too human being. Pain during mastication/eating only especially meat. Feel like food stuck there. So, check any caries. If not, check tenderness to lateral & vertical percussion-tender mean perio problem in origin. Next check for probing depth. Not so deep to consider as perio problem. But, there is interdental papilla loss. Actually, my case, me I mean referred to perio specialist. 

My treatment, just do root surface debridement there and advice for using interdental brush. There was granulation tissue found there. If no improvement, I may need to undergo periodontal surgery just to facilitate oral hygiene measure there. I hope not. I love to do surgery on others, but not me, ironic right. This is me being dentist, love to do filling on others, but afraid to undergo filling on myself. 

Please don’t cry, I love u myself. You stay with me in all happy & sad situation. I’m not gonna leave you alone myself. 

TODAY IS ANOTHER BIG DAY FOR ME. I LOVE BEING A DENTIST TO BE AHAKS

I’m indebted to one of my colleague for one extraction. It’s payback time. During perio session yesterday, I found one tooth indicated for extraction due to irreversible pulpitis, so I give her the tooth today to be extracted. Me? I’m enjoying the session being an assistant for apicoectomy procedure to remove foreign body namely non setting calcium hydroxide on the apex of 22.

Last year, I’d experience to observe  apicoectomy or so called endodontics surgery to bevel part of the tooth apex to create apical seal due to periapical lesion of non vital tooth. We have 2 options either to do orthograde RCT or retrograde RCT. This time, only TF and retrograde RCT preferred.

Be warn that this is painful procedure that profound anaesthesia is  really necessary. Infiltration was given on palatal and buccal site. 2 cartridge 2.2ml LA with adrenaline was expected. One carpule before starting and another reserved in the middle of procedure. Full mucoperiosteal flap was raised with vertical releasing incision on 11 and 13. Semilunar flap is only indicated if tooth is crowned. 

I’m the one holding the suction 2 hours. Left hand holding the suction tip while right hand holding the Howarth periosteal elevator. How exciting to be able to see all the procedure clearly! After that, using K file 60, clean and shape the canal. Use actual working length measurement to estimate how far flap should be raised/reflected. Raise a little bit more than WL.

Then, use round bur to create window on the bone around apex based on working length. Then, curette the non setting calcium hydroxide use curettage until no more material. If needed extend the window use larger size round bur. Don’t forget to irrigate along the way. Then, if satisfied, take periapical X ray to see no more excess there. This non setting calcium hydroxide is radiopaque, so it’s easier to differentiate.

Next, dry the canal with paper point and cotton pellet inside the window. Use larger size gutta perca to obturate until there is tugback. Before that bevel the apex with fissure bur. Then, obturate with GP. Cut excess GP on the apex. Last , suture with interrupted suture, maybe 5 up to 6 interrupted suture use 3-0 needle. Give post op instruction & prescription of antibiotics & analgesic. 

Done! Time to clean up instrument.

A WEEK MORE TO UNDERGO END BLOCK 1 EXAM

Time flies too fast that I cant catch up. The end block coming again. Thanks to ‘study group’ that push me to study rather than studo. 

ngeh ngeh. 

Pulang ke rumah dan kembali ke kampus kuantan dengan mood raya. Oh, rumah ialah syurga saat jiwa dilanda gundah. Cuti lebih awal kerana bertembung dengan cuti keputeraan Sultan Pahang, namun rezeki tiket tidak menyebelahi. (sebulan setengah lebih awal tu cari tiket pun masih tiada rezki) Lantas bertapa sehari di sini sebelum pulang ke Tanah Serendah Sekebun Bunga. 

Macam biasa perhentian bas ialah stesen tanah merah jam 520am. Terus ke masjid untuk subuh berjemaah (subuh makin awal kan). Dalam hati menimbang-nimbang sama ada untuk berpuasa sunat hari ‘arafah 9 Zulhijjah atau tidak, namun memutuskan untuk tidak menjamah sebarang makanan-niat puasa sunat kan sebelum tengah hari, masih sempat berfikir lagi=p.

Ketiduran dalam bas yang amat, nasib baik tempat duduk di sebelah perempuan yang sama-sama turun kat tm (takut terlajak..huhu) almaklum tidur mati, bak kata abang aku: bom meletup sebelah pun bukan terjaga..haha. bas berhenti pun aku maintain tidur je, ntah la bagaimana posisi aku, harapnya tak memalukan haha. Lama juga bas tu berhenti makan, dekat bas nak gerak dan lampu dah dipadamkan baru aku terjaga, namun tidur terus disambung..hehe.

Sedar tak sedar pun dah masuk pasir putih nak dekat machang. Kali ni tahan la sikit mata sebab takut terlajak. Balik sorang-sorang dalam bas begini la ye.

Berteman seorang teman ke masjid yang dekat tempat bas berhenti tu. Alhamdulillah, makmurnya masjid ini dengan jemaah solat subuh walaupun hanya makcik-makcik yang memenuhi saf. Ada la juga anak muda yang tiba dari jauh dengan beg besar balik kampung tu.

Tunggu drebar, pukul 730am gak la sampai rumah. Terima kasih ye drebar, susah-susah je;p. If tak, aku balun je naik bas skmk jam 630am, lagipun beg takde la berat sangat, tapi kebetulan dapat tumpang orang, orait la tu..rezki jangan ditolak..hehe

Sampai rumah, ada adik aku je, yang lain tak balik lagi. Hajatnya nak ke pasar, namun aku terlentang tidur..he. Bangun lepas tu ke pasar jap untuk beli kek raya dan teruskan niat berpuasa. Bukan mudah nak dapat peluang puasa 9zulhijjah ni, al maklum perempuan, banyak halangannya. 

Petang tu aku belek kain lama, terjumpa baju pasang aku yang belum berjahit, 2 pasang pulak tu. Dah la baju yang orang bagi hari tu belum siap potong lagi. Jadinya 3 pasang belum berjahit. Aku pun merajinkan diri potong dua pasang. Baju kurung ni takde la susah sangat kan, Cuma kena jaga inci dan cm nya takot tersenget je la. Siap la dua pasang aku potong. Baru potong tu. 

Kemudian aku beraya dengan t shirt sebab baju tak berjahit.. hehe. Anak tukang jahit begini la. Nanti la bila-bila aku balik jahit (konon la).

Pagi raya tu,bonda masak nasi dagang. Petang tu anak-anak saudara aku tiba. Bestnya! Meriah sangat! Ada kawan untuk main badminton sebenarnya. He3. Dah lama tak jumpa anak-anak saudara, rindu sangat-sangat nak peluk dan golek budak comel tu.

Erti raya? Bila berkumpul ahli keluarga, borak-borak, gelak-gelak sambil menunggu chef di dapur. Owh, kak aku yang chef tu balik, jadi dapur jangan kacau, hak dia..hehe. nanti dah siap masak, baru dia panggil. Adik aku kata tempah dia untuk masak hidangan pengantin..he3 BTW, aku tak pergi giant, tak dapat bawa balik teh songket yang best tu (paling aku suka laici &ros) , orang rumah aku memang suka minum teh sedap tu. Nanti cuti ni, aku bawa balik banyak-banyak kay. 

Cuti ni, aku bawa balik sebiji buku je, ambil syarat kan. Time aku nak study sebelum tidur, anak-anak saudara aku pakat kerumun. Semuanya nak tengok gambar gigi. Jadilah aku cikgu tuisyen yeng menerangkan segala macam pasal gigi (kalau diorang nak kerja macam aku, aku akan tentang habis-habisan..haha).

Jadinya, aku memang tak mampu nak baca buku (alasan tak konkrit langsung..haha). erm..selera makan aku menurun sehari dua sebelum balik ni setelah meningkat memdadak setelah mendapat berita jpa masih gagal memuat turun duit..huhu. jadi, aku tak makan sangat walaupun makanan kat rumah best sangat-sangat. 

Pagi sebelum datang kuantan, ajaibnya aku tengok sepasang baju aku tiba-tiba siap. He3. Jadi, dapatlah sepasang baju baru. Aku bukan malas menjahit, tapi aku tak sihat sepanjang kat rumah, tergolek-golek je atas lantai, sakit perut dowh. Telan ponstan sebiji pun, takde kesan langsung. Sudahnya, aku tergolek-golek je. Nasib baik ramai tenaga yang boleh diharap buat kerja (macam la tanpa aku kerja tak jalan..haha)

Bertolak ke kuantan hampir jam 10am dengan kereta baru orang tu. Makan roti je sepanjang jalan (jem yang amat..huhu) Sempat la merasa pegang stereng kereta dalam jem dengan instruktur yang garang (mau luruh jantung aku tiap kali kena tegur)..huhu. dan aku tahu, dia pun berdebar mahu tukar seat drebar tu. Muka pun pucat semacam je. Hehe. Dah lama  tak polish skill, dah berapa tahun lesen kereta aku hanya hiasan. He3. 

Nasib baik ada teman borak yang baik, thanks Mira tolong temankan dan melalui jalan jauh (sah serik dah pahni) dan selamat tiba di kuantan jam 930pm. 12 jam tu. Nak makan nasi arab, asalnya, tapi jungle tutup hujung minggu. Last-last singgah warung tepi kak ju je. Sorry, korang, datang lain kali kita belanja nasi arab, tu pun kalau tak serik la. Dah macam-macam posisi aku tengok dalam kereta. Drebar paling kesian. Sorry..pahni kita balik naik bas la ye..he3

Dengan cerita sampai key el hampir subuh ye. Dugaan musim raya. Tak sangka la plak jadi jauh macam ni. Sorry korang..

Ok la dah habis cerita raya. Bersedia untuk menduduki ujian pula. Go..steady..go!

A MATCH BY GOD : CINTA TANPA SYARAT

You asked no questions

   Right from the start.

       You gave me all straight from the heart.

   Didn’t say one word. 

Or judge me while you gave me all with a smile.

TIDAK MAHU BERTANYA KEPADA TUHAN

Sekadar untuk dikongsi.
Sumber: http://www.fcukz.co.cc/2010/06/tidak-mahu-bertanya-kepada-tuhan.html#ixzz1S8y223Vv

Arthur Ashe, Seorang Pemain Tenis Legenda dan pemenang Wimbledon sedang mengalami masa-masa kritikal karena jangkitan AIDS yang dia dapatkan dari pemindahan darah sewaktu melakukan pembedahan di hatinya.Dia mendapatkan simpati dari seluruh peminatnya di seluruh dunia, dan salah satu surat yang dia terima berbunyi : “Mengapa Tuhan memberikan kamu penyakit seburuk ini ?”.

Kemudian Arthur Ashe membalas suratnya :

“Di dunia ini — ada 50 juta kanak-kanak yang mulai belajar tenis, 5 juta yang belajar tenis secara rutin,

500.000 orang belajar secara profesional, 50.000 orang yang ikut pertandingan tenis,

5.000 di antaranya berhasil ke Grand Slam, 50 orang yang berhasil ke  Wimbledon,

4 orang yang ke semi final, 2 orang yang berhasil ke babak Final,

Ketika Saya merayakan kemenangan dan memegang Piala Wimbledon, SAYA TIDAK PERNAH BERTANYA KEPADA TUHAN, “MENGAPA SAYA” ?.

Dan hari ini walaupun sakit, SAYA TIDAK SEHARUSNYA BERTANYA KEPADA TUHAN, “MENGAPA SAYA” ?.